ESCRS - FPT04.11 - Immediate Sequential Bilateral Implantation With Mini-Monovision Of A Novel Wavefront-Shaping Presbyopia Correcting Intraocular Lens In Eyes With Ocular Co-Morbidity

Immediate Sequential Bilateral Implantation With Mini-Monovision Of A Novel Wavefront-Shaping Presbyopia Correcting Intraocular Lens In Eyes With Ocular Co-Morbidity

Published 2022 - 40th Congress of the ESCRS

Reference: FPT04.11 | Type: Free paper | DOI: 10.82333/fs88-fv69

Authors: Ruth Lapid-Gortzak* 1 , Mor Dickman 2 , Alexander Rulo 3 , Jan Willem van der Linden 3

1Retina Total Eye Care,Driebergen,Netherlands;ophthalmology,Amsterdam UMC,Amsterdam,Netherlands, 2ophthalmology,MUMC,Maastricht,Netherlands, 3Retina Total Eye Care,Driebergen,Netherlands

Purpose

To report the refractive and visual acuity results of immediate sequential bilateral implantation with a novel wavefront-shaping presbyopia correcting IOL, the Vivity and Vivity Toric, (DFT015-515, Alcon, USA) in a mini-monovision strategy in eyes with ocular comorbidity.

Setting

Private refractive surgery clinic, Retina Total Eye Care, Driebbergen, the Netherlands 

Methods

Consecutive retrospective case series. All cases operated with a standard phacoemulsification procedure and implanted bilaterally DFT015-515 IOL between September and December 2022 were included. The dominant eye was targeted for emmetropia and the non-dominant eye was targeted for -0.50D. Use of toric lenses were based on predicted post operative refraction. At 3 months, the results of visual acuity, refraction, patient satisfaction, as well as descriptive data of ocular co-morbidity were recorded and analyzed.

Results

39 patients (78 eyes) were included. In 27 non-toric and in 51 toric IOLs were implanted. Ocular co-morbidities included: severe dry eyes, post-corneal laser surgery, corneal topographic irregularity, amblyopia, macular scar, epiretinal membrane, glaucoma, high myopia, drusen, post-trauma, and floaters. Mean post-operative UDVA & DCVA were 0.09 + 0.14 logMAR & 0 + 0.09 logMAR respectively. UIVA & DCIVA were -0.01 + 0.09 and -0.02 + 0.10 respectively. UNVA & DCNVA were 0.09 + 0.13 and 0.06 + 0.16. Mean SE was 0.16D + 0.37 (range: +1 to -1.125) in the distant corrected eye, and -0.54D + 0.36 (0.25 to -1.5) in the near targeted eye. Complications: IOL rotation (1). Patient satisfaction was high. In 35% reading glasses were not or rarely used.

Conclusions

A mini-monovision immediate sequential approach using a novel wavefront shaping presbyopia correcting IOL in eyes with ocular co-morbidity allows for high patient satisfaction while maximizing patients’ freedom from spectacles. Mean distance and intermediate uncorrected vision were excellent (logMAR 0.09 and -0.01, respectively). Nearly 1/3 of patients did not or rarely use reading glasses. For eyes in which diffractive trifocal IOLs are not an option, this is very useful alternative.